Review Article

Efficacy and Safety of the TCM Qi-Supplementing Therapy in Patients with Myasthenia Gravis: A Systematic Review and Meta-Analysis

Table 1

Baseline characteristics of the included trials.

Author/yearRegionNumber of participantsAge range/mean (years)InterventionTreatment durationOutcome measuresFollow-up durationTCM pattern differentiation

Wang and Yang 1999 [12]ChinaQ: 52
C: 50
7–45Q: Qi-supplementing Formula + controls;
C: cholinesterase inhibitors + glucocorticoid
24 months① + ②24 monthsNo
Jiang and Liu 2003 [13]ChinaQ: 33
C: 33
Q: 36.5
C: 35
Q: Qi-supplementing Formula + controls;
C: immunosuppressant
12–24 months① + ③Not mentionedNo
Kaminski 2003 [14]ChinaQ: 60
C: 30
20–61Q: Qi-supplementing Formula + controls;
C: pyridostigmine
9 months① + ②6 monthsNo
Zhang 2006 [15]ChinaQ: 87
C: 53
3–16 (9.6)Q: Qi-supplementing Formula + controls;
C: prednisone
4 months① + ② + ③12 monthsNo
Zhang and Yang 2006 [16]ChinaQ: 28
C: 28
Q: 31.1
C: 32.2
Q: Qi-supplementing Formula + controls;
C: prednisone
6 monthsNot mentionedNo
Lu 2007 [17]ChinaQ: 20
C: 20
Q: 10–53
C: 15–49
Q: Qi-supplementing Formula + controls;
C: glucocorticoid + pyridostigmine
12 monthsNot mentionedYes
Ouyang 2007 [18]ChinaQ: 30
C: 30
Q: 28.2
C: 27.5
Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine
10–12 monthsNot mentionedNo
Zhang et al. 2007 [19]ChinaQ: 76
C: 75
1.5–12 (6.8)Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine
4.5–6 months① + ②12 monthsNo
Yang 2008 [20]ChinaQ: 28
C: 28
Q: 9–69
C: 8–70
Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine
3 months3 monthsYes
Niu 2009 [21]ChinaQ: 30
C: 30
Q:   
C:
Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine + placebo
3 monthsNot mentionedYes
Lv and Xu 2010 [22]ChinaQ: 26
C: 26
Q: 12–60
C: 10–58
Q: Qi-supplementing Formula + controls;
C: prednisone
3–6 months3 monthsYes
Xu 2011 [23]ChinaQ: 31
C: 31
39–73 (62.5)Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine
≥4.5 months
① + ② + ③12 monthsNo
Wang et al. 2012 [24]ChinaQ: 30
C: 30
20–60Q: Qi-supplementing Formula + controls;
C: pyridostigmine
6 monthsNot mentionedYes
Jiang et al. 2013 [25]ChinaQ: 30
C: 30
Q: 17–75 (48.7)
C: 22–75 (49.0)
Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine + placebo
6 months① + ③Not mentionedYes
Ma 2013 [26]ChinaQ: 36
C: 36
Q: 2–12
C: 3–12
Q: Qi-supplementing Formula + controls;
C: prednisone
3 months① + ② + ③Not mentionedNo
Chen et al. 2013 [27]ChinaQ: 34
C: 32
Q: 20.8
C: 21.2
Q: Qi-supplementing Formula + controls;
C: prednisone
12 months① + ③Not mentionedYes
Xia 2013 [28]ChinaQ: 30
C: 30
14–72 (34.6)Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine
2 months① + ③Not mentionedYes
Shen 2014 [29]ChinaQ: 31
C: 31
32–60Q: Qi-supplementing Formula + controls;
C: glucocorticoid
1 month① + ③Not mentionedNo
Huang 2014 [30]ChinaQ: 18
C: 18
18–60Q: Qi-supplementing Formula + controls;
C: pyridostigmine
6 monthsNot mentionedNo
Shuang 2014 [31]ChinaQ: 20
C: 18
Q: 22–60
C: 20–59
Q: Qi-supplementing Formula + controls;
C: prednisone + pyridostigmine + placebo
2.5 months① + ③Not mentionedYes
Yuan and Rao 2015 [32]ChinaQ: 20
C: 20
Not reportedQ: Qi-supplementing Formula + controls;
C: pyridostigmine
2.25 monthsNot mentionedYes
Zu 2015 [33]ChinaQ: 25
C: 25
13–66 (32.4)Q: Qi-supplementing Formula + controls;
C: prednisone
2 months① + ③1 monthYes
Qi et al. 2015 [34]ChinaQ: 107
C: 105
16–73Q: Qi-supplementing Formula + controls;
C: methylprednisolone + azathioprine
18 months① + ②Not mentionedNo